HEART CENTER OF NORTHEASTERN ARIZONA LLC NPI 1619948130

NPI Information

NPI: 1619948130
Provider Name: HEART CENTER OF NORTHEASTERN ARIZONA, LLC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
2200 E SHOW LOW LAKE RD
CATH LAB
SHOW LOW, AZ
ZIP 85901
Phone: (928) 532-1970
Get Directions

HEART CENTER OF NORTHEASTERN ARIZONA, LLC is an interventional cardiology internal medicine in Show Low, AZ. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. HEART CENTER OF NORTHEASTERN ARIZONA, LLC NPI is 1619948130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2200 E SHOW LOW LAKE RD
CATH LAB
SHOW LOW, AZ
ZIP 85901-881
Phone: (928) 532-1970
Fax: (928) 532-1969

The provider's authorized official is Lynda Lange .
The authorized official title is Npi and has the following contact phone number (928) 532-1970.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 6/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	OTC3497	ARIZONA	No
2	291U00000X	Clinical Medical Laboratory		OTC3497	ARIZONA	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	OTC3497	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	848707	MEDICAID	ARIZONA
2	Z73532	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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